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Abdominal pain and spotting after urination, symptoms of gall bladder stones - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, i am a 23 Y/O F pt (Not pregnant; OTC pregnancy test X 2 days ago; Negitive results)with presenting upper Rt sided flank pain X 4Days, varing between 0/10-5/10 throbbing pain. comes and goes. When pain is present has duration of 2-10 minutes. happens about 5-10 X day mostly after meals or bathroom usage. No spicy foods or alcohol. non-smoker. Diarrhea X 4 days, X 2-4 day. i have had the pain for a few months but it'd be only once every few weeks now it's been pretty much constant for a few days. I'd appreciate if you can help me figure out what could be wrong.
User :   hello
Doctor :   let me read ur query
Doctor :   the site of the pain, could be associated with 2 things
Doctor :   1. kidney stones -
Doctor :   2. liver inflammation or gall bladder stones
Doctor :   since u mentioned that this is mostly after meals, it could be due to gall stones too
User :   i also have vaginal spotting after the pain goes away and after urinating
Doctor :   vaginal spotting, could be associated with stressfull situations, like renal stones sometimes
Doctor :   but as a separate symptom, spotting that comes on after relief of pain has to be checked
User :   what kind of OTC tx can i do to help my situation
Doctor :   you might need to undergo a ultrasound of your abdomen, to know whats the exact cause
Doctor :   it can help to detect both renal stones, gallstones as well as any thing like cysts in the ovary
Doctor :   all three things can cause the pain as described
Doctor :   pain killers like Ibuprofen or Naproxyn will be good
User :   i have had ovarian cysts before and the pain is higher this time than it was then
User :   i have also been having very irregular periods sometimes two weeks at the time
Doctor :   in that case, the probabilty of the pain _ vaginal spotting - being due to another cyst is high
Doctor :   all these are indicative of Poly cystic ovarian disease
Doctor :   any rupture of ovarian cysts - cause release of estrogen
Doctor :   and this results in spotting
User :   would this be a problem in getting pregnant at all?
Doctor :   Yes, if the periods remain irregular, then it might cause problems
Doctor :   but it is treatable
Doctor :   taking pills for a cycle of 3-4 months will regularise the periods
User :   birth control pills?
Doctor :   and when the cycles become regular, then, if needed medications to induce ovulation can help get pregnant
Doctor :   yes BIRTH CONTROL pills
Doctor :   they have a lot of use, in medical conditions other than birth control
User :   do i have to have a prescription for birth control pills to get them?
Doctor :   they help to regularise abnormal menstrual irregularities
Doctor :   yes, In US, you need a prescription
Doctor :   but before that, a proper diagnosis is needed, which might require a ultrasound
User :   is it urgent for me to go see a dr or can i just try the IBU and see what happens
Doctor :   you can try the ibuprofen for a few days or a month
Doctor :   as long as u can tolerate the symptoms
User :   how many times a day can i take IBU and how many mg
Doctor :   in case of severe pain, 400 mg thrice daily
Doctor :   or 800 mg just when u have the pain
User :   ok.
User :   thank you very much!
Doctor :   you are most welcome
User :   have a great day
Doctor :   you too
Doctor :   take care and bye for now
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